Susana Jimenez, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89770 Issued in TX

Practice address

4801 Woodway Dr Ste 306W
Houston, TX 77056-1828

Phone

(832) 225-3345

Fax

(713) 583-1504

NPI assigned

Sep 30, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psych Matters PLLC

  • Professional Counselor
  • Houston, TX
  • NPI 1285114454
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Casa Rapha Counseling, PLLC

  • Mental Health Counselor
  • Austin, TX
  • NPI 1790655850
  NPD Authorized official
• Psych Matters PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1053023960

  Professional

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1639893902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 306W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561828",
            "telephone_number": "832-225-3345",
            "fax_number": "713-583-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 306W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561828",
            "telephone_number": "832-225-3345",
            "fax_number": "713-583-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "SUSANA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayarith Jimenez
• Omar Jimenez, CRNA
• Orlando Jimenez Sr.
• Pamela Jimenez
• Sarah B Jimenez, M.S.
• Suzette Jimenez
• Valerie A Jimenez
• Valori Nicole Jimenez
• Vanessa Jimenez
• Vanessa Jimenez

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.